| NPI | 1821653262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A190634) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 202301998) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-03-14 |